Kellogg, E. Journal of Emergency Nursing | Published online: 4 April 2017
Problem: The emergency department is a critical care area for those with immediate health care needs, and death is not an uncommon outcome. The discussion regarding end-of-life care is often a subject nurses feel uncomfortable or unprepared to address. Additionally, nurses often encounter obstacles when providing end-of-life care in the emergency department environment. It is vital that emergency nurses are educated about the many aspects of end-of-life care to feel better prepared to address the topic which will ultimately improve patient care.
Methods: A review of the literature was completed to determine current recommendations on the purposes of advance care documents, how to implement them, how to talk with patients about the importance of completing appropriate advance care documents, and the challenges surrounding the use of advance directives in the emergency department.
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